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NPI Code Detail

MEDICARE: DR. JOSEPH PAUL PETERMAN M.D.

MEDICARE:  DR. JOSEPH PAUL PETERMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianH4612TX

General Provider Information

NPI Number : 1023015757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH PAUL PETERMAN M.D.
Provider Business Mailing Address
First Line : 8222 DOUGLAS AVE
Second Line : SUITE #500
City : DALLAS
State : TX
Zip : 75225-5923
Country : US
Telephone Number : 214-987-0777
Fax Number :
Provider Business Practice Location Address
First Line : 8222 DOUGLAS AVE
Second Line : SUITE #500
City : DALLAS
State : TX
Zip : 75225-5923
Country : US
Telephone Number : 214-987-0777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOSEPH PAUL PETERMAN M.D.” Practice Location

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